How much rates vary
Facilitymedian $69 · 10th to 90th $62 to $91Professionalmedian $72 · 10th to 90th $51 to $91
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $128.82 | Professional | None | $77.62 | $91.20 | $128.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | UE · Used equipment | $69.18 | $69.18 | $95.50 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | RR · Rental | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | None | $61.66 | $61.66 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | None | $67.61 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $91.20 Typical High $109.65 | Facility | None | $39.81 | $91.20 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | None | $83.18 | $83.18 | $89.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | RR · Rental | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $85.11 | Professional | None | $42.66 | $61.66 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $4.79 Median $6.61 Typical High $9.77 | Professional | RR · Rental | $4.79 | $6.61 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $46.77 Typical High $63.10 | Professional | UE · Used equipment | $32.36 | $46.77 | $63.10 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 50 · Both sides | $125.89 | $125.89 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $11.75 | $11.75 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $11.75 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | AS · PA/NP assist | $11.75 | $11.75 | $12.30 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | SH · Second concurrent infusion | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | SJ · Third+ concurrent infusion | $41.69 | $41.69 | $41.69 |
Where North Carolina sits
The same service costs 5.0 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 37th of 51
$72.44
KS $309NJ $61.66
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.